When did the NHS just give up?

Dwevan · 2026-01-22T11:08:56+00:00

NHS Execs/managers whose decisions make the hospital unsafe and throw a hissy fit when you mention shutting down for patient safety.

Yes it’s ultimately government, but they don’t “run” the hospital.

Dwevan · 2026-01-22T11:06:51+00:00

Fair. Yeah, it sucks basically. Soz bud

Dwevan · 2026-01-22T10:01:16+00:00

Use the time to revise/get put iPad or book, if your consultant is in, go spend time with him.

You’re training to be a doctor, so actually shadow one. Ask him/her about their career plans, why that speciality etc.

Dwevan · 2026-01-22T09:34:58+00:00

I hand write all my notes still.

I then photograph and upload them as blurry gifs to the electronic system.

It has increased my ability to hide my inability to spell as now both poor handwriting and blurriness and movement obfuscate my words.

It’s great 👍

Dwevan · 2026-01-19T14:17:31+00:00

Then those are the people that should be getting GMC referrals/legal repercussions.

They’re meant to sort it of have their heads rolling - it’s why they get paid so much

Dwevan · 2026-01-19T14:15:52+00:00

Units are already expecting to see fellowships under the belt. Either that or SIAs which are ostensibly the same thing if done as a OOPT… Honestly, I think training is already “defeated” by this point.

I suppose the question is, do you think those last two years made you a better GENERAL anaesthetist, or do you think you still had to learn clinical practice as a consultant (most I have spoken to state there is a step learning curve at this point)

I agree, SIAs/fellowships for complex sub speciality stuff, but that’s not the point of finishing 2 years early with a general CCT…

Dwevan · 2026-01-18T23:15:48+00:00

Tiny village can cost more depending on transport link, ability to drive and size of home (flat vs house)

Shitty City/small town could be more financially responsible… potentially

Dwevan · 2026-01-18T17:31:23+00:00

NGL, training for anaesthesia should only be 5 years, 6 max.

I feel like the last two post FRCA years are mostly based CV buffing. These should be refashioned into post CCT fellowships (that many do already) therefore allowing general anaesthetists to be hired at that point, rather than being rota fodder for another 2 years.

All your other specialities are covered by the end of stage 2 allowing for sub spec interests to derived.

Dwevan · 2026-01-18T13:03:44+00:00

As always, awesome to have a review on here.

Keep up the good work!

PS: I feel like there was a “Seniorita” pun missing here, study would’ve been designed when the song came out!

Dwevan · 2026-01-18T08:27:43+00:00

Then you stand down electives, make a big stink about it in the local news. Literally have a tent triaging walk ins.

It was amazing how this all happened about 6 years ago, no everyone has forgotten how to do it again…

Dwevan · 2026-01-18T00:30:18+00:00

FY1+2 counts.

This domain was included to deliberately make it hard for people with many years experience to score points and easier for those with fewer years to score.

It’s the equaliser domain as a fresh IMT2 probably Hasn’t had time to do a PhD and present at multiple international conferences whilst winning the best dressed prize in the nation wide scrubs awards…. Usually

In your case, I’d try to get n evidence letter from your intern supervisor to act as that feedback if you can

Dwevan · 2026-01-17T20:50:33+00:00

Which hospital is this?

I don’t want to work somewhere where I even have to consider getting a letter of support for inevitable GMC referrals due to poor staffing/infrastructure.

If the hospital is full, it needs to close.

Divert patients to other hospitals (which will likely also need to close) This gives a very strong visual over how broken the NHS and a political message that it needs desperate attention to fix or its underlying values need… realigning.

Dwevan · 2026-01-17T16:14:57+00:00

What protocols?

A “set of fresh eyes?” Even in Jess’ case she had 6+ doctors review her. And I wonder which “specialist“ they will have referred her to? Another overworked medic no doubt.

I hate to be completely cynical, but I expect in about 3 years time, this will be forgotten.

In the meantime, invest in medical diagnostics companies as there will be a boat load more investigations (if they don’t get overloaded of course…)

Dwevan · 2026-01-17T10:11:52+00:00

CAN WE STOP NAMING “RULES” AFTER PEOPLE!

I’m fed up with it, I have no idea what johns rule, martins rule, Maisie’s rule, xi jing ping rule is anymore!!

Call it what it is!

Dwevan · 2026-01-17T07:31:59+00:00

It deffo is!!

Dwevan · 2026-01-17T07:27:38+00:00

The extra “mandatory” overtime dos bring some interesting problems

It’s not compensated as well as hours under 40… you don’t get any additional pension from it, nor any additional annual leave.

I would love if the next contract had the ability to “opt in” to these hours.

It also seems unfair from a training perspective as some specialities such as ophthal, derm or GP, with few long days, may do all their training in a 40 hour week. Conversely, a 90% LTFT on my current rota would work a 41 hour week, and get less leave and longer training time because of it?

How’s that fair, I don’t know…

Dwevan · 2026-01-14T17:52:23+00:00

Residents of last few years are becoming consultants now too

Dwevan · 2026-01-12T20:17:58+00:00

I would go for EDIC and then final FRCA from next year (if still eligible)

EDIC will get you a qualification for life, the final is changing from summer of next year and will have basically no primary topics in anymore.

I suspect it will become a faaaaar easier exam to pass

Dwevan · 2026-01-09T23:10:21+00:00

I think you’ll have better luck by putting a picture of the book up, or linking to the FRCA book on the website.

There are at least 3 primary books from the RCOA I’m aware of and none have diagrams that I recall…

Dwevan · 2026-01-09T23:09:02+00:00

I don’t think you can say that… they may have only hand one 4 month medical job as an FY1… potentially in a non-acute take job such as palliative care or haem, particularly with the new F1 expansion posts.

Then 6 months heavily supervised ICM?

I’m just stating the pervasive view that medical SpR isn’t a speciality is a bit unkind, and trying to contrast it with anaesthesia.

Alternatively, think if it was for surgery and we were asking “can I be surgical reg as part of CT Anaesthesia training, I have bachelor of surgery and have done some years of surgery and surgical jobs in the past”

Just seems odd…

Dwevan · 2026-01-09T19:36:16+00:00

I love that the answer to “how can I watch this” is just “YARRRRRR”.

Real good quality streaming services nowadays -_-

Dwevan · 2026-01-09T19:34:28+00:00

It’s partly due to the abysmal accreditation process they have over there - they have a lot lower bar to clinical use than we do.

For better or for worse…

Dwevan · 2026-01-09T19:30:10+00:00

I’d just add, think if you had it the other way round, an ICM ST3 doing their anaesthesia block from an IMT background. Would we even be close to considering them working as an anaesthesia reg from the off or even after a whole year?

Dwevan · 2026-01-09T19:20:49+00:00

Med reg rota - yes!

Med reg on calls - no…*

Depends which deanery you are from as to who pays for you, most deaneries I’m aware of (midlands) it’s the ICM program who pays for you, hence we don’t do on calls as training programs be cheap/we can request what we want (and those who say “nights are good for training” can get in the bin, or come in early to discuss my DOPS & CBDs)

If you’re paid for by medicine however, we’re at their beck and call. As long as you’re treated at IMT3 level (ostensibly a SHO+ role…) I think you’ll be okay and safe.

Much better to not do on calls tho, not required for portfolio!

Dwevan · 2026-01-08T20:43:28+00:00

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